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Organization

SHIELD OF FAITH ASSISTED LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DENETTA JEAN SMITH (OWNER)
(972) 333-6282
Entity
Organization

Contact information

Practice address
1206 DEERWOOD DR, DALLAS, TX 75232-3822
(972) 333-6282
Mailing address
6611 GREENSPAN AVE, DALLAS, TX 75232-3605
(972) 333-6282

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
131060
TX

Other

Enumeration date
01/20/2011
Last updated
01/20/2011
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